Audit Support COB and DM

Overview The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining teams. This individual will efficiently and professionally handle daily administrative activities within the COB and DM departments to assist the audit to meet and exceed client expectations. This role requires exceptional verbal communication by audio as well as attentive attention to detail for data entry-related written communication and follow–ups for both internal and external client inquiries to achieve success in the generation of overpayments. Responsibilities This individual will work under the direct supervision of a Team Lead and/or Manager, providing a valuable learning experience and growth opportunities. Collaborates with all levels and members of the COB & DM auditing team to provide diverse support and task-based assignments, contributing to the achievement of business objectives and goals for the calendar year. Communicates directly with Medicare, Insurance companies, Providers, and/or Employer groups to obtain pertinent member eligibility details that will impact the correct order of member liability. Enters accurate member, group, and claim information into Cotiviti tools (Recovery Management Systems, SharePoint, COB Tracker, Client Systems). Ensures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skill